State of Texas Dental Choice Plan - Delta Dental

State of Texas Dental Choice Plan

Important information about the State of Texas Dental Choice Plan: Delta Dental will become the new third-party administrator (TPA) for the State of Texas Dental Choice preferred provider organization (PPO) plan on September 1, 2019. Click here for more information about the transition.

Good overall health starts with a healthy mouth. The State of Texas Dental Choice Plan is a self-funded, Preferred Provider Organization (PPO) plan administered by Delta Dental that focuses on prevention, early diagnosis, and treatment to help you stay healthy.

Program Benefits

  • You are not required to designate a primary care dentist (PCD) and can see any dentist that takes PPO dental plans, but you will save money by staying in Delta Dental’s network. 
  • There are two networks designed to save you money:
    • Delta Dental PPO and
    • Delta Premier network.
      • Both networks offer board certified dentists. The difference between the networks is how much you pay. If you choose a Delta Dental PPO dentist, you will likely pay less out of pocket. If you choose a Delta Premier dentist, you’ll still receive network benefits, but will likely pay more for services.
  • The plan allows for two routine exams and cleanings per calendar year.
  • Coverage is available for
    • diagnostic and preventive services,
    • basic services,
    • major services and
    • orthodontic services.
  • Costs vary depending upon services provided. For a detailed list of services and coverage, view the State of Texas Dental Choice plan fact sheet.
  • Any covered dental expense incurred during the last three months of the calendar year (October-December) that applies to the deductible will also apply to the deductible for the next calendar year. This is so the participant will not have to satisfy a deductible at the end of one year and at the start of another year.

Eligibility and Enrollment

  • The plan is available to GBP eligible employees, retirees and dependents. Evidence of Insurability is never required to enroll in this plan.
  • You and your dependents must enroll in the same dental plan.
  • You can enroll in this plan during your first 31 days of employment. There is no waiting period.
  • You can also enroll when you have a qualifying life event (QLE) such as a birth or marriage and coverage will begin on the date of birth or the first of the month following the event.
  • You can enroll during your designated Annual Enrollment period and coverage will begin on September 1 of that year for active employees and non-Medicare eligible retirees or January 1 for Medicare-eligible retirees of the following year.
For questions about benefits, claims or services received before September 1, 2019, please contact the previous third party administrator, HumanaDental.

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